ࡱ> kmj FbjbjVV 4j<<##HH8d;;:'R.hu!|QbbbbFbed,^ 0;!!!pbbbbbbbbbb;bbbb!bbbbbbbbbH Q:  Iowa Department of Administrative Services  Human Resources Enterprise (DAS-HRE)For DAS-HRE use  NON-CONTRACT GRIEVANCE FORM Name of Employee (Grievant):Department:Classification: FORMTEXT       FORMTEXT       FORMTEXT      Work Unit:Immediate Supervisor:Work Address: FORMTEXT       FORMTEXT       FORMTEXT      Work-City, State & Zip Code:Work Phone Number:Home Address: FORMTEXT       FORMTEXT       FORMTEXT      Home-City, State and Zip Code: Home/Cell Phone Number:Date:  FORMTEXT       FORMTEXT       FORMTEXT      Employee s Signature:  FORMTEXT      * 8A Subchapter IV/70A Code Section or DAS-HRE Rule 11 IAC Violated:  FORMTEXT      * Must be completed if other than an 11 IAC 61.2(6) Appeal State the issue involved and the date the incident took place: FORMTEXT       Remedy Requested: FORMTEXT       If the issue involves suspension, demotion, discharge, or reduction of pay within grade of a merit system covered employee with permanent status, this form must be submitted to DAS-HRE at step 3 within seven (7) calendar days after the effective date of the action. See DAS-HRE subrule 11 IAC 61.2(6). This form may be faxed to 515-281-0753, hand delivered to DAS-HRE or mailed to: Iowa Department of Administrative Services Human Resources Enterprise, 1305 East Walnut, Des Moines, Iowa 50319. The Iowa Department of Administrative Services Human Resources Enterprise does not\^   . 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